Individual
SAMARA N SHIROMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
1012 UNION ST, BANGOR, ME 04401-3060
(207) 945-5247
Mailing address
PO BOX 1599, PENOBSCOT COMMUNITY HEALTH CENTER, BANGOR, ME 04402-1599
(207) 945-5247
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP141107
ME
Other
Enumeration date
08/07/2013
Last updated
05/05/2021
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